| NPI | 1982881132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALETHEA LENORE WESSNER Optometrist 570-345-0188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: PA OEG000477) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-02-01 |